Thursday, September 29, 2016

Ulcerguard




Ulcerguard may be available in the countries listed below.


In some countries, this medicine may only be approved for veterinary use.

Ingredient matches for Ulcerguard



Ranitidine

Ranitidine hydrochloride (a derivative of Ranitidine) is reported as an ingredient of Ulcerguard in the following countries:


  • Australia

International Drug Name Search

Neriproct




Neriproct may be available in the countries listed below.


Ingredient matches for Neriproct



Diflucortolone

Diflucortolone 21-valerate (a derivative of Diflucortolone) is reported as an ingredient of Neriproct in the following countries:


  • Japan

Lidocaine

Lidocaine is reported as an ingredient of Neriproct in the following countries:


  • Japan

International Drug Name Search

Dermopanten




Dermopanten may be available in the countries listed below.


Ingredient matches for Dermopanten



Dexpanthenol

Dexpanthenol is reported as an ingredient of Dermopanten in the following countries:


  • Poland

International Drug Name Search

Wednesday, September 28, 2016

Dimefline




Scheme

Rec.INN

ATC (Anatomical Therapeutic Chemical Classification)

R07AB08

CAS registry number (Chemical Abstracts Service)

0001165-48-6

Chemical Formula

C20-H21-N-O3

Molecular Weight

323

Therapeutic Category

Analeptic

Chemical Name

4H-1-Benzopyran-4-one, 8-[(dimethylamino)methyl]-7-methoxy-3-methyl-2-phenyl-

Foreign Names

  • Dimeflinum (Latin)
  • Dimeflin (German)
  • Diméfline (French)
  • Dimeflina (Spanish)

Generic Names

  • Dimeflina (OS: DCIT)
  • Dimefline (OS: BAN)
  • Diméfline (OS: DCF)
  • Dimefline Hydrochloride (OS: USAN, JAN)
  • DW-62 (IS)
  • Recordati 7-0267 (IS)

Brand Names

  • Dimefline Shanghai No.1
    Shanghai No.1, China


  • Remeflin
    Recordati, Italy

International Drug Name Search

Glossary

BANBritish Approved Name
DCFDénomination Commune Française
DCITDenominazione Comune Italiana
ISInofficial Synonym
JANJapanese Accepted Name
OSOfficial Synonym
Rec.INNRecommended International Nonproprietary Name (World Health Organization)
USANUnited States Adopted Name

Click for further information on drug naming conventions and International Nonproprietary Names.

Doxy-Wolff




Doxy-Wolff may be available in the countries listed below.


Ingredient matches for Doxy-Wolff



Doxycycline

Doxycycline hyclate (a derivative of Doxycycline) is reported as an ingredient of Doxy-Wolff in the following countries:


  • Germany

Doxycycline monohydrate (a derivative of Doxycycline) is reported as an ingredient of Doxy-Wolff in the following countries:


  • Germany

International Drug Name Search

Dimenidrinato




Dimenidrinato may be available in the countries listed below.


Ingredient matches for Dimenidrinato



Dimenhydrinate

Dimenidrinato (DCIT) is known as Dimenhydrinate in the US.

International Drug Name Search

Glossary

DCITDenominazione Comune Italiana

Click for further information on drug naming conventions and International Nonproprietary Names.

Advil Pediatric


Generic Name: ibuprofen (Oral route)

eye-bue-PROE-fen

Oral route(Tablet;Suspension;Capsule, Liquid Filled;Tablet, Chewable)

NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may be increased in patients with cardiovascular disease or risk factors for cardiovascular disease. Ibuprofen is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery. NSAIDs can also cause an increased risk of serious gastrointestinal adverse events especially in the elderly, including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal .



Commonly used brand name(s)

In the U.S.


  • Addaprin

  • Advil

  • A-G Profen

  • Bufen

  • Genpril

  • Haltran

  • I-Prin

  • Midol

  • Motrin

  • Nuprin

  • Proprinal

  • Q-Profen

In Canada


  • Actiprofen

  • Advil Children's

  • Advil Pediatric

  • Children's Motrin

  • Children's Motrin Berry Flavor

  • Children's Motrin Bubble Gum Flavor

  • Children's Motrin Grape Flavor

  • Equate Children's Ibuprofen - Berry - Dye Free

  • Infants' Motrin

  • Teddy's Choice Children's Ibuprofen - Berry

  • Teddy's Choice Children's Ibuprofen - Bubble Gum

  • Teddy's Choice Children's Ibuprofen - Grape

Available Dosage Forms:


  • Suspension

  • Tablet

  • Capsule, Liquid Filled

  • Tablet, Chewable

  • Capsule

Therapeutic Class: Analgesic


Pharmacologic Class: NSAID


Chemical Class: Propionic Acid (class)


Uses For Advil Pediatric


Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain, and helps to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis), such as inflammation, swelling, stiffness, and joint pain. This medicine does not cure arthritis and will help you only as long as you continue to take it .


In addition, ibuprofen can be used to treat fever, menstrual cramps, and other conditions as determined by your doctor .


This medicine is available both over-the-counter (OTC) and with your doctor's prescription .


Before Using Advil Pediatric


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of ibuprofen in children below 6 months of age. Safety and efficacy have not been established .


Geriatric


Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of ibuprofen in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require adjustment of dosage in patients receiving ibuprofen .


Pregnancy














Pregnancy CategoryExplanation
1st TrimesterCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.
2nd TrimesterCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.
3rd TrimesterDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Ketorolac

  • Pentoxifylline

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Abciximab

  • Ardeparin

  • Argatroban

  • Beta Glucan

  • Bivalirudin

  • Certoparin

  • Cilostazol

  • Citalopram

  • Clopidogrel

  • Clovoxamine

  • Dabigatran Etexilate

  • Dalteparin

  • Danaparoid

  • Desirudin

  • Dipyridamole

  • Enoxaparin

  • Escitalopram

  • Femoxetine

  • Flesinoxan

  • Fluoxetine

  • Fluvoxamine

  • Fondaparinux

  • Ginkgo

  • Heparin

  • Lepirudin

  • Methotrexate

  • Nadroparin

  • Nefazodone

  • Parnaparin

  • Paroxetine

  • Pemetrexed

  • Protein C

  • Reviparin

  • Rivaroxaban

  • Sertraline

  • Sibutramine

  • Tacrolimus

  • Ticlopidine

  • Tinzaparin

  • Tirofiban

  • Vilazodone

  • Zimeldine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Acebutolol

  • Acetohexamide

  • Alacepril

  • Alprenolol

  • Amikacin

  • Amiloride

  • Arotinolol

  • Aspirin

  • Atenolol

  • Azilsartan Medoxomil

  • Azosemide

  • Befunolol

  • Bemetizide

  • Benazepril

  • Bendroflumethiazide

  • Benzthiazide

  • Betaxolol

  • Bevantolol

  • Bisoprolol

  • Bopindolol

  • Bucindolol

  • Bumetanide

  • Bupranolol

  • Buthiazide

  • Candesartan Cilexetil

  • Canrenoate

  • Captopril

  • Carteolol

  • Carvedilol

  • Celiprolol

  • Chlorothiazide

  • Chlorpropamide

  • Chlorthalidone

  • Cilazapril

  • Clopamide

  • Cyclopenthiazide

  • Cyclosporine

  • Delapril

  • Desipramine

  • Desvenlafaxine

  • Dilevalol

  • Duloxetine

  • Enalaprilat

  • Enalapril Maleate

  • Eprosartan

  • Esmolol

  • Ethacrynic Acid

  • Fosinopril

  • Furosemide

  • Gliclazide

  • Glimepiride

  • Glipizide

  • Gliquidone

  • Glyburide

  • Hydrochlorothiazide

  • Hydroflumethiazide

  • Imidapril

  • Indapamide

  • Irbesartan

  • Labetalol

  • Landiolol

  • Levobetaxolol

  • Levobunolol

  • Lisinopril

  • Lithium

  • Losartan

  • Mepindolol

  • Methyclothiazide

  • Metipranolol

  • Metolazone

  • Metoprolol

  • Milnacipran

  • Moexipril

  • Nadolol

  • Nebivolol

  • Nipradilol

  • Olmesartan Medoxomil

  • Oxprenolol

  • Penbutolol

  • Pentopril

  • Perindopril

  • Phenytoin

  • Pindolol

  • Piretanide

  • Polythiazide

  • Propranolol

  • Quinapril

  • Ramipril

  • Sotalol

  • Spirapril

  • Spironolactone

  • Tacrine

  • Talinolol

  • Tasosartan

  • Telmisartan

  • Temocapril

  • Tertatolol

  • Timolol

  • Tolazamide

  • Tolbutamide

  • Torsemide

  • Trandolapril

  • Triamterene

  • Trichlormethiazide

  • Valsartan

  • Venlafaxine

  • Voriconazole

  • Xipamide

  • Zofenopril

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Anemia or

  • Asthma or

  • Bleeding problems or

  • Blood clots or

  • Edema (fluid retention or body swelling) or

  • Heart attack, history of or

  • Heart disease (e.g., congestive heart failure) or

  • High blood pressure or

  • Kidney disease or

  • Liver disease (e.g., hepatitis) or

  • Stomach or intestinal ulcers or bleeding or

  • Stroke, history of—Use with caution. This medicine may make these conditions worse .

  • Aspirin sensitivity, history of—This medicine should NOT be used in patients with this condition .

  • Diabetes—Use with caution. The suspension form of this medicine contains sugar .

  • Heart surgery (e.g., coronary artery bypass graft [CABG] surgery)—This medicine should NOT be used to relieve pain right before or after the surgery .

Proper Use of ibuprofen

This section provides information on the proper use of a number of products that contain ibuprofen. It may not be specific to Advil Pediatric. Please read with care.


For safe and effective use of this medicine, do not take more of it, do not take it more often, and do not take it for a longer time than ordered by your doctor. Taking too much of this medicine may increase the chance of unwanted effects, especially in elderly patients .


When used for severe or continuing arthritis, this medicine must be taken regularly as ordered by your doctor in order for it to help you. This medicine usually begins to work within one week, but in severe cases up to two weeks or even longer may pass before you begin to feel better. Also, several weeks may pass before you feel the full effects of this medicine .


To lessen stomach upset, you may take this medicine with food or milk .


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For oral dosage form (tablets and suspension):
    • For fever:
      • Children over 2 years of age—Use and dose must be determined by your doctor.

      • Children 6 months of age up to 2 years—Dose is based on body weight and body temperature, and must be determined by your doctor. For fever lower than 102.5 °F (39.2 °C), the dose usually is 5 milligrams (mg) per kilogram (kg) (about 2.2 mg per pound) of body weight. For higher fever, the dose usually is 10 mg per kg (about 4.5 mg per pound) of body weight. The medicine may be given every six to eight hours, as needed, up to 40 mg per kg per day.

      • Infants younger than 6 months of age—Use and dose must be determined by your doctor .


    • For menstrual cramps:
      • Adults—400 milligrams (mg) every four hours, as needed.

      • Children—Use and dose must be determined by your doctor .


    • For mild to moderate pain:
      • Adults and teenagers—400 milligrams (mg) every four to six hours, as needed.

      • Children over 6 months of age—Dose is based on body weight and must be determined by your doctor. The dose usually is 10 milligrams (mg) per kilogram (kg) of body weight every six to eight hours, as needed, up to 40 mg per kg per day.

      • Infants younger than 6 months of age—Use and dose must be determined by your doctor .


    • For osteoarthritis and rheumatoid arthritis:
      • Adults and teenagers—1200 milligrams (mg) up to 3200 mg per day divided into three or four equal doses.

      • Children—Dose is based on body weight and must be determined by your doctor. The dose usually is 30 milligrams (mg) to 40 mg per kilogram (kg) of body weight per day, divided into three or four doses.

      • Infants younger than 6 months of age—Use and dose must be determined by your doctor .



Missed Dose


If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Ask your healthcare professional how you should dispose of any medicine you do not use.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using Advil Pediatric


It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects .


This medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk .


This medicine may cause bleeding in your stomach or intestines. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner) .


Serious skin reactions can occur during treatment with this medicine. Check with your doctor right away if you have any of the following symptoms while taking this medicine: blistering, peeling, loosening of skin, chills, cough, diarrhea, fever, itching, joint or muscle pain, red skin lesions, sore throat, sores, ulcers, white spots in mouth or on lips, or unusual tiredness or weakness .


Possible warning signs of some serious side effects that can occur during treatment with this medicine may include swelling of the face, fingers, feet, and/or lower legs; severe stomach pain, black, tarry stools, and/or vomiting of blood or material that looks like coffee grounds; unusual weight gain; yellow skin or eyes; decreased urination; bleeding or bruising; and/or skin rash. Also, signs of serious heart problems could occur such as chest pain, tightness in chest, fast or irregular heartbeat, unusual flushing or warmth of skin, weakness, or slurring of speech. Stop taking this medicine and check with your doctor immediately if you notice any of these warning signs .


This medicine may also cause a serious type of allergic reaction called anaphylaxis. Although this is rare, it may occur often in patients who are allergic to aspirin or other nonsteroidal anti-inflammatory drugs. Anaphylaxis requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, wheezing, or fainting. Other signs may include changes in skin color of the face; very fast but irregular heartbeat or pulse; hive-like swellings on the skin; and puffiness or swelling of the eyelids or around the eyes. If these effects occur, get emergency help at once .


Some people who have used this medicine had symptoms of meningitis. If you have fever, headache, nausea, vomiting, and stiff neck or back while using this medicine, check with your doctor right away .


Using this medicine while you are pregnant can harm your unborn baby. If you think you have become pregnant while using this medicine, tell your doctor right away .


Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after your treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor) .


Before having any kind of surgery or medical tests, tell your doctor that you are taking this medicine. It may be necessary for you to stop treatment for a while, or to change to a different nonsteroidal anti-inflammatory drug before your procedure .


Advil Pediatric Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


More common
  • Abdominal pain

  • acid or sour stomach

  • belching

  • bloating

  • cloudy urine

  • decrease in amount of urine

  • decrease in urine output or decrease in urine-concentrating ability

  • diarrhea

  • difficulty having a bowel movement (stool)

  • excess air or gas in stomach or intestines

  • full feeling

  • heartburn

  • indigestion

  • itching skin

  • pain or discomfort in chest, upper stomach, or throat

  • pale skin

  • passing gas

  • nausea

  • noisy, rattling breathing

  • rash with flat lesions or small raised lesions on the skin

  • shortness of breath

  • swelling of face, fingers, hands, feet, lower legs, or ankles

  • troubled breathing at rest

  • troubled breathing with exertion

  • unusual bleeding or bruising

  • unusual tiredness or weakness

  • vomiting

  • weight gain

Less common
  • Abdominal cramps

  • stomach soreness or discomfort

Rare
  • Agitation

  • back, leg, or stomach pains

  • bleeding gums

  • blistering, peeling, loosening of skin

  • blood in urine or stools

  • bloody, black, or tarry stools

  • blurred vision

  • burning feeling in chest or stomach

  • change in vision

  • chest pain

  • chills

  • clay-colored stools

  • coma

  • confusion

  • constipation

  • cough or hoarseness

  • dark urine

  • decreased urine output

  • depression

  • difficulty breathing

  • difficulty swallowing

  • dilated neck veins

  • dizziness

  • dry mouth

  • extreme fatigue

  • fast, irregular, pounding, or racing heartbeat or pulse

  • fever with or without chills

  • frequent urination

  • general body swelling

  • general feeling of tiredness or weakness

  • hair loss, thinning of hair

  • headache

  • hives or welts

  • hostility

  • impaired vision

  • increased blood pressure

  • increased volume of pale, dilute urine

  • irregular breathing

  • irritability

  • itching

  • joint or muscle pain

  • lab results that show problems with liver

  • lethargy

  • light-colored stools

  • loss of appetite

  • lower back or side pain

  • muscle twitching

  • nosebleeds

  • painful or difficult urination

  • pains in stomach, side, or abdomen, possibly radiating to the back

  • pinpoint red spots on skin

  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

  • rash

  • red skin lesions, often with a purple center

  • red, irritated eyes

  • redness of skin

  • seizures

  • severe abdominal pain, cramping, burning

  • severe and continuing nausea

  • sore throat

  • sores, ulcers, or white spots in mouth or on lips

  • stiff neck or back

  • stomach upset

  • stupor

  • swollen or painful glands

  • tenderness in stomach area

  • thirst

  • tightness in chest

  • unpleasant breath odor

  • upper right abdominal pain

  • vomiting of blood

  • vomiting of material that looks like coffee grounds

  • wheezing

  • yellow eyes and skin

Symptoms of overdose
  • Bluish lips or skin

  • difficulty sleeping

  • disorientation

  • dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly

  • drowsiness to profound coma

  • hallucination

  • lightheadedness or fainting

  • mood or other mental changes

  • muscle tremors

  • not breathing

  • rapid, deep breathing

  • restlessness

  • slow or irregular heartbeat

  • stomach cramps

  • sudden fainting

  • sweating

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


More common
  • Continuing ringing or buzzing or other unexplained noise in ears

  • hearing loss

  • nervousness

Rare
  • Crying

  • depersonalization

  • discouragement

  • dry eyes

  • dysphoria

  • euphoria

  • feeling sad or empty

  • lack of appetite

  • loss of interest or pleasure

  • mental depression

  • paranoia

  • quick to react or overreact

  • rapidly changing moods

  • runny nose

  • sleepiness or unusual drowsiness

  • sleeplessness

  • sneezing

  • stuffy nose

  • trouble concentrating

  • trouble sleeping

  • unable to sleep

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Advil Pediatric side effects (in more detail)



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More Advil Pediatric resources


  • Advil Pediatric Side Effects (in more detail)
  • Advil Pediatric Use in Pregnancy & Breastfeeding
  • Drug Images
  • Advil Pediatric Drug Interactions
  • Advil Pediatric Support Group
  • 0 Reviews for Advil Pediatric - Add your own review/rating


  • Ibuprofen Prescribing Information (FDA)

  • Ibuprofen Professional Patient Advice (Wolters Kluwer)

  • Ibuprofen Monograph (AHFS DI)

  • Advil Consumer Overview

  • Advil MedFacts Consumer Leaflet (Wolters Kluwer)

  • Advil Prescribing Information (FDA)

  • Advil Childrens Prescribing Information (FDA)

  • Advil Migraine Prescribing Information (FDA)

  • Caldolor Consumer Overview

  • Caldolor Injection MedFacts Consumer Leaflet (Wolters Kluwer)

  • Caldolor Prescribing Information (FDA)

  • IBU MedFacts Consumer Leaflet (Wolters Kluwer)

  • Ibutilide Fumarate Monograph (AHFS DI)

  • Motrin Consumer Overview

  • Motrin Prescribing Information (FDA)

  • Motrin IB Prescribing Information (FDA)

  • Motrin Junior Strength Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

  • NeoProfen Prescribing Information (FDA)



Compare Advil Pediatric with other medications


  • Fever
  • Headache
  • Muscle Pain
  • Pain
  • Period Pain
  • Spondylolisthesis

Tuesday, September 27, 2016

Bi-Profénid




Bi-Profénid may be available in the countries listed below.


Ingredient matches for Bi-Profénid



Ketoprofen

Ketoprofen is reported as an ingredient of Bi-Profénid in the following countries:


  • Benin

  • Burkina Faso

  • Cameroon

  • Central African Republic

  • Chad

  • Congo

  • Cote D'ivoire

  • France

  • Gabon

  • Guinea

  • Madagascar

  • Mali

  • Mauritania

  • Mauritius

  • Niger

  • Senegal

  • Togo

  • Zaire

International Drug Name Search

Helixate injection


Generic Name: antihemophilic factor (factor VIII) (injection) (an TEE hee moe FIH lick FAC tor)

Brand Names: Advate rAHF-PFM, Alphanate, Helixate, Helixate FS, Hemofil-M, Humate-P, Koate-DVI, Koate-HP, Kogenate, Kogenate FS, Monarc-M, Monoclate-P, Recombinate, Refacto


What is antihemophilic factor (factor VIII)?

Antihemophilic factor (factor VIII) is a naturally occurring protein in the blood that helps blood to clot. A lack of factor VIII is the cause of hemophilia A.


Antihemophilic factor (factor VIII) is used to treat or prevent bleeding in people with hemophilia A.


Antihemophilic factor (factor VIII) may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about antihemophilic factor (factor VIII)?


Some forms of this medication are made from human plasma (part of the blood) and may contain viruses and other infectious agents that can cause disease. Although donated human plasma is screened, tested, and treated to reduce the risk of it containing anything that could cause disease, there is still a small possibility it could transmit disease. Talk with your doctor about the risks and benefits of using this medication.


Some viruses, such as parovovirus B19 and hepatitis A, may be more difficult to identify or remove from antihemophilic factor (factor VIII). Parovovirus can seriously affect pregnant women and people with weak immune systems. Symptoms of parovovirus B19 infection include fever, chills, runny nose, and drowsiness followed about 2 weeks later by a rash and joint pain. Symptoms of hepatitis A may include several days to weeks of poor appetite, tiredness, and low-grade fever followed by nausea, vomiting, and stomach pain. Dark-colored urine and jaundice (yellowing of the skin or eyes) may also occur. Contact your doctor if you develop any of these symptoms after treatment with antihemophilic factor (factor VIII).


Carry an ID card or wear a medical alert bracelet stating that you have hemophilia, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you have a bleeding disorder.

Your body may develop antibodies to this medication, making it less effective. Contact your doctor if this medicine does not seem to be working as well as before in controlling your bleeding.


If you need to have any type of surgery, tell the surgeon ahead of time that you are using antihemophilic factor (factor VIII). You may need to stop using the medicine for a short time.


What should I discuss with my healthcare provider before using antihemophilic factor (factor VIII)?


This medication comes in many different strengths. Be sure the strength printed on the medicine bottle label is correct for the dose your doctor has prescribed for you.


Do not use this medication if you have:

  • a history of allergy to antihemophilic factor; or




  • a history of allergy to products made with human or animal proteins, especially mouse proteins.




FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Some forms of this medication are made from human plasma (part of the blood) and may contain viruses and other infectious agents that can cause disease. Although donated human plasma is screened, tested, and treated to reduce the risk of it containing anything that could cause disease, there is still a small possibility it could transmit disease. Talk with your doctor about the risks and benefits of using this medication.


Some viruses, such as parovovirus B19 and hepatitis A, may be more difficult to identify or remove from antihemophilic factor (factor VIII). Parovovirus can seriously affect pregnant women and people with weak immune systems. Symptoms of parovovirus B19 infection include fever, chills, runny nose, and drowsiness followed about 2 weeks later by a rash and joint pain. Symptoms of hepatitis A may include several days to weeks of poor appetite, tiredness, and low-grade fever followed by nausea, vomiting, and stomach pain. Dark-colored urine and jaundice (yellowing of the skin or eyes) may also occur. Contact your doctor if you develop any of these symptoms after treatment with antihemophilic factor (factor VIII).


How should I use antihemophilic factor (factor VIII)?


This medication is given as an injection through a needle placed into a vein. Your doctor, nurse, or other healthcare provider will give your first injection. Then you will be given instructions on how to use your injections at home. Do not use this medicine at home if you do not fully understand how to give the injection and properly dispose of needles and other items used in giving the medicine.


To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor.


Carry an ID card or wear a medical alert bracelet stating that you have hemophilia, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you have a bleeding disorder.

Your body may develop antibodies to this medication, making it less effective. Contact your doctor if this medicine does not seem to be working as well as before in controlling your bleeding.


If you need to have any type of surgery, tell the surgeon ahead of time that you are using antihemophilic factor (factor VIII). You may need to stop using the medicine for a short time.


Store the powder medicine in the refrigerator. Do not freeze. Do not mix this medicine with the liquid diluent until you are ready to give the injection. Once the medicine has been mixed, you must use it within 3 hours. Do not refrigerate the mixed medicine. Keep it at room temperature. You may also store the powder at room temperature for up to 6 months or until the expiration date printed on the label (whichever comes first). Do not put the medicine back into the refrigerator once you have kept it at room temperature.

What happens if I miss a dose?


Contact your doctor for instructions if you miss a dose of this medication.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine.

What should I avoid while using antihemophilic factor (factor VIII)?


There are no restrictions on food, beverages, or activity while using this medication unless your doctor has told you otherwise.


Antihemophilic factor (factor VIII) side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);




  • fever, chills, runny nose, and drowsiness followed about 2 weeks later by a rash and joint pain;




  • fast heart rate, chest pain, trouble breathing;




  • feeling light-headed, fainting; or




  • pain, redness, swelling, or oozing where the medicine was injected.



Other, less serious side effects may be more likely to occur, such as:



  • unusual taste in your mouth;




  • cough, runny or stuffy nose;




  • mild itching;




  • swelling in your hands, ankles, or feet;




  • headache or dizziness;




  • mild nausea, diarrhea, stomach pain;




  • sweating;




  • joint pain; or




  • chills or flushing (warmth or tingly feeling).



Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.


What other drugs will affect antihemophilic factor (factor VIII)?


Other drugs that affect bleeding or blood-clotting may interact with antihemophilic factor (factor VIII) and cause dangerous side effects or make the medicine less effective.


There may be other drugs that can affect antihemophilic factor (factor VIII). Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



Where can I get more information?


  • Your pharmacist has additional information about antihemophilic factor (factor VIII) written for health professionals that you may read.

What does my medication look like?


Antihemophilic factor (factor VIII) is available with a prescription under several brand names. Generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.



Beechams Flu-Plus Caplets





1. Name Of The Medicinal Product



Beechams Flu-Plus Caplets


2. Qualitative And Quantitative Composition



Each caplet contains Paracetamol 500 mg, Caffeine 25 mg and Phenylephrine Hydrochloride 5 mg.



For full list of excipients, see section 6.1.



3. Pharmaceutical Form



Film coated tablet



4. Clinical Particulars



4.1 Therapeutic Indications



The product is recommended for the relief of sinus pain and the symptoms of colds and influenza, including fatigue and drowsiness.



4.2 Posology And Method Of Administration



Adults, children aged 12 years and over and Elderly



2 caplets up to 4 times a day.



These doses should not be repeated more frequently than every four hours.



Do not take continuously for more than 7 days without medical advice



4.3 Contraindications



Concomitant use of other sympathomimetic decongestants



Phaeochromocytoma



Closed angle glaucoma



Known hypersensitivity to paracetamol or any of the other constituents.



Hepatic or severe renal impairment, hypertension, hyperthyroidism, diabetes, and heart disease. Patients taking tricyclic antidepressants, or beta-blocking drugs and those who are taking or who have taken within the last two weeks monoamine oxidase inhibitors (see section 4.5).



4.4 Special Warnings And Precautions For Use



Care is advised in the administration of paracetamol to patients with severe renal or severe hepatic impairment. The hazard of overdose is greater in those with non-cirrhotic alcoholic liver disease.



Medical advice should be sought before using this product in patients with these conditions:



An enlargement of the prostate gland



Occlusive vascular disease (e.g. Raynaud's phenomenon)



Cardiovascular disease



This product should not be used by patients taking other sympathomimetics (such as decongestants, appetite suppressants and amphetamine-like psychostimulants) (see interactions).



Excessive intake of caffeine (e.g. coffee, tea and some canned drinks) should be avoided while taking this product.



Do not exceed the stated dose.



Patients should be advised not to take other paracetamol-containing products concurrently.



If symptoms persist consult your doctor.



Keep out of the reach and sight of children.



Consult your doctor if you are taking warfarin.



Special Label Warnings



Do not take with other flu, cold or decongestant products. Do not take with any other paracetamol-containing products.



Immediate medical advice should be sought in the event of an overdose, even if you feel well.



Special Leaflet Warnings



Immediate medical advice should be sought in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage.



4.5 Interaction With Other Medicinal Products And Other Forms Of Interaction



Enzyme-inducing drugs may increase hepatic damage, as does excessive intake of alcohol. The speed of absorption of paracetamol may be increased by metoclopromide or domperidone and absorption reduced by colestyramine. These interactions are considered to be of unlikely clinical significance in acute use at the dosage regimen proposed.



Medical advice should be sought before taking paracetamol-caffeine phenylephrine in combination with the following drugs:


















Monoamine oxidase inhibitors



(including moclobemide)




Hypertensive interactions occur between sympathomimetic amines such as phenylephrine and monoamine



Oxidase inhibitors (see contraindications).




Sympathomimetic amines




Concomitant use of phenylephrine with other sympathomimetics amines can increase the risk of cardiovascular side effects (see warnings and precautions).




Beta-blockers and other antihypertensives (including debrisoquine, guanethidine, reserpine, methyldopa)




Phenylephrine may reduce the efficacy of beta-blocking drugs and antihypertensive drugs. The risk of hypertension and other cardiovascular side effects may be increased (see contraindications).




Tricyclic antidepressants (eg amitriptyline)




May increase the risk of cardiovascular side effects with phenylephrine (see contraindications).




Digoxin and cardiac glycosides




Concimitant use of phenylephrine with digoxin or cardiac glycosides may increase the ris of irregular heartbeat or heart attack.




Ergot alkaloids




(ergotamine and methylsergide) increased risk of ergotism




Warfarin and other coumarins




The anticoagulant effect of warfarin and other coumarins may be enhanced by prolonged regular daily use of paracetamol with an increased risk of bleeding; occasional doses have no significant effect.



4.6 Pregnancy And Lactation



This product is not recommended for use in pregnancy due to the phenylephrine and caffeine content. There is a potential increased risk of lower birth weight and spontaneous abortion associated with caffeine consumption during pregnancy.



This product should not be used while breast-feeding without medical advice



Caffeine in breast milk may have a stimulating effect on breast-fed infants.



Phenylephrine may be excreted in breast milk.



4.7 Effects On Ability To Drive And Use Machines



Patients should be advised not to drive or operate machinery if affected by dizziness.



4.8 Undesirable Effects



Adverse events from historical clinical trial data are both infrequent and from small patient exposure. Accordingly, events reported from extensive post-marketing experience at therapeutic/labelled dose and considered attributable are tabulated below by system class. Due to limited clinical trial data, the frequency of these adverse events is not known (cannot be estimated from available data), but post-marketing experience indicates that adverse reactions to paracetamol are rare and serious reactions are very rare.



Paracetamol














Body System




Undesirable effect




Blood and lymphatic system disorders




Thrombocytopenia



Agranulocytosis



These were not necessarily causally related to paracetamol.




Immune system disorders




Anaphylaxis



Cutaneous hypersensitivity reactions including skin rashes, angiodema and Stevens Johnson syndrome, toxic epidermal necrolysis




Respiratory, thoracic and mediastinal disorders




Bromchospasm*




Hepatobiliary disorders




Hepatic dysfunction



* There have been cases of bronchospasm with paracetamol, but these are more likely in asthmatics sensitive to aspirin or other NSAIDs.



Caffeine



Adverse reactions identified through post-marketing use with caffeine are listed below. The frequency of these reactions is unknown.






Central Nervous system




Nervousness and anxiety



Irritability, Restlessness and Excitability



Dizziness



When the recommended paracetamol-caffeine dosing regimen is combined with dietary caffeine intake, the resulting higher dose of caffeine may increase the potential for caffeine-related adverse effects such as insomnia, restlessness, anxiety, irritability, headaches, gastrointestinal disturbances and palpitations.



Phenylephrine



The following adverse events have been observed in clinical trials with phenylephrine and may therefore represent the most commonly occurring adverse events.














Body System




Undesirable effect




Psychiatric disorders




Nervousness




Nervous system disorders




Headache, dizziness, insomnia




Cardiac disorders




Increased blood pressure




Gastrointestinal disorders




Nausea, Vomiting



Adverse reactions identified during post-marketing use are listed below. The frequency of these reactions is unknown












Eye disorders




Mydriasis, acute angle closure glaucoma, most likely to occur in those with closed angle glaucoma




Cardiac disorders




Tachycardia, palpitations




Skin and subcutaneous disorders




Allergic reactions (e.g. rash, urticaria, allergic dermatitis).




Renal and urinary disorders




Dysuria, urinary retention. This is most likely to occur in those with bladder outlet obstruction, such as prostatic hypertrophy.



4.9 Overdose



Liver damage is possible in adults who have taken 10g or more of paracetamol. Ingestion of 5g or more of paracetamol may lead to liver damage if the patient has risk factors (see below).



Risk factors



If the patient



a, Is on long term treatment with carbamazepine, phenobarbitone, phenytoin, primidone, rifampicin, St John's Wort or other drugs that induce liver enzymes.



Or



b, Regularly consumes ethanol in excess of recommended amounts.



Or



c, Is likely to be glutathione deplete e.g. eating disorders, cystic fibrosis, HIV infection, starvation, cachexia.



Symptoms



Symptoms of paracetamol overdosage in the first 24 hours are pallor, nausea, vomiting, anorexia and abdominal pain. Liver damage may become apparent 12 to 48 hours after ingestion. Abnormalities of glucose metabolism and metabolic acidosis may occur. In severe poisoning, hepatic failure may progress to encephalopathy, haemorrhage, hypoglycaemia, cerebral oedema, and death. Acute renal failure with acute tubular necrosis, strongly suggested by loin pain, haematuria and proteinuria, may develop even in the absence of severe liver damage. Cardiac arrhythmias and pancreatitis have been reported.



Management



Immediate treatment is essential in the management of paracetamol overdose. Despite a lack of significant early symptoms, patients should be referred to hospital urgently for immediate medical attention. Symptoms may be limited to nausea or vomiting and may not reflect the severity of overdose or the risk of organ damage. Management should be in accordance with established treatment guidelines, see BNF overdose section.



Treatment with activated charcoal should be considered if the overdose has been taken within 1 hour. Plasma paracetamol concentration should be measured at 4 hours or later after ingestion (earlier concentrations are unreliable). Treatment with N-acetylcysteine may be used up to 24 hours after ingestion of paracetamol, however, the maximum protective effect is obtained up to 8 hours post-ingestion. The effectiveness of the antidote declines sharply after this time. If required the patient should be given intravenous N-acetylcysteine, in line with the established dosage schedule. If vomiting is not a problem, oral methionine may be a suitable alternative for remote areas, outside hospital. Management of patients who present with serious hepatic dysfunction beyond 24h from ingestion should be discussed with the NPIS or a liver unit.



Caffeine



Symptoms and signs



Overdose of caffeine may result in epigastric pain, vomiting, diurese, tachycardia or cardiac arrhythmia, CNS stimulation (insomnia, restlessness, excitement, agitation, jitteriness, tremors and convulsions).



It must be noted that for clinically significant symptoms of caffeine overdose to occur with this product, the amount ingested would be associated with serious paracetamol-related liver toxicity.



Treatment



No specific antidote is available, but supportive measures may be used.



Phenylephrine



Symptoms and signs



Phenylephrine overdosage is likely to result in effects similar to those listed under adverse reactions. Additional symptoms may include, hypertension, and possibly reflex bradycardia. In severe cases confusion, hallucinations, seizures and arrhythmias may occur. However the amount required to produce serious phenylephrine toxicity would be greater than that required to cause paracetamol-related liver toxicity.



Treatment



Treatment should be as clinically appropriate. Severe hypertension may need to be treated with alpha blocking drugs such as phentolamine.



5. Pharmacological Properties



5.1 Pharmacodynamic Properties



Paracetamol is a well established analgesic and antipyretic.



Phenylephrine hydrochloride is a sympathomimetic agent with mainly direct effects on adrenergic receptors (predominantly alpha-adrenergic activity) producing nasal decongestion. Caffeine is the most active xanthine derivative in respect of stimulation of the central nervous system, producing a condition of wakefulness and increased mental activity.



5.2 Pharmacokinetic Properties



Paracetamol is metabolised by the hepatic microsomal enzymes. It is rapidly and completely absorbed from the gastro-intestinal tract. Plasma concentration reaches a peak in half to one hour, the plasma half-life is one to three hours and it is uniformly distributed throughout the body.



Phenylephrine hydrochloride is irregularly absorbed from the gastro-intestinal tract. When injected intramuscularly it takes 10- 1 5 minutes to act and subcutaneous and intramuscular injections are effective for about one hour. Intravenous injections are effective for about 20 minutes.



Caffeine is readily absorbed from the gastro-intestinal tract.



5.3 Preclinical Safety Data



Not applicable.



6. Pharmaceutical Particulars



6.1 List Of Excipients



The caplets also contain: Starch Pregel, Maize Starch, Povidone, Potassium Sorbate, Sodium Laurilsulfate, Sunset Yellow (E 110), Stearic Acid, Talc and Microcrystalline Cellulose.



The film coating consist of: Hypromellose, Polyethylene Glycol 400, Titanium Dioxide, Sunset Yellow Aluminium Lake (E 110) and Quinoline Yellow Lake (E 104).



6.2 Incompatibilities



None.



6.3 Shelf Life



24 months.



6.4 Special Precautions For Storage



Store below 25°C in a dry place.



6.5 Nature And Contents Of Container



The caplets are packed into PVC 250 µm/ aluminium foil 30 µm blisters in outer boxboard cartons, containing 8, 10, 16, 24 and 32 caplets, or PVC 300 µm/ aluminium foil 30 µm blisters in a cardboard/ PVC wallet containing 12 or 14 caplets.



6.6 Special Precautions For Disposal And Other Handling



None.



7. Marketing Authorisation Holder



Beecham Group PLC



980 Great West Road



Brentford



Middlesex



TW8 9GS



United Kingdom



Trading as GlaxoSmithKline Consumer Healthcare, Brentford, TW8 9GS, U.K.



8. Marketing Authorisation Number(S)



PL 00079/0335



9. Date Of First Authorisation/Renewal Of The Authorisation



29 July 1996



10. Date Of Revision Of The Text



May 2010.




Delewal




Delewal may be available in the countries listed below.


Ingredient matches for Delewal



Flupentixol

Flupentixol is reported as an ingredient of Delewal in the following countries:


  • India

Melitracen

Melitracen is reported as an ingredient of Delewal in the following countries:


  • India

International Drug Name Search

Minulette




Minulette may be available in the countries listed below.


Ingredient matches for Minulette



Ethinylestradiol

Ethinylestradiol is reported as an ingredient of Minulette in the following countries:


  • South Africa

Gestodene

Gestodene is reported as an ingredient of Minulette in the following countries:


  • South Africa

International Drug Name Search

Dermovat




Dermovat may be available in the countries listed below.


Ingredient matches for Dermovat



Clobetasol

Clobetasol 17α-propionate (a derivative of Clobetasol) is reported as an ingredient of Dermovat in the following countries:


  • Denmark

  • Finland

  • Iceland

  • Norway

  • Sweden

International Drug Name Search

Carbocaine




In some countries, this medicine may only be approved for veterinary use.


In the US, Carbocaine (mepivacaine systemic) is a member of the drug class local injectable anesthetics and is used to treat Local Anesthesia.

US matches:

  • Carbocaine

  • Carbocaine HCl

Ingredient matches for Carbocaine



Mepivacaine

Mepivacaine hydrochloride (a derivative of Mepivacaine) is reported as an ingredient of Carbocaine in the following countries:


  • Canada

  • Georgia

  • Peru

  • South Africa

  • United States

International Drug Name Search

Sumavel DosePro Subcutaneous


Generic Name: sumatriptan (Subcutaneous route)

soo-ma-TRIP-tan

Commonly used brand name(s)

In the U.S.


  • Alsuma

  • Imitrex

  • Imitrex Stat Dose Refill

  • Sumavel DosePro

Available Dosage Forms:


  • Kit

  • Solution

Therapeutic Class: Antimigraine


Pharmacologic Class: Serotonin Receptor Agonist, 5-HT1


Uses For Sumavel DosePro


Sumatriptan injection is used to treat acute migraine attacks and cluster headaches in adults. It does not prevent migraine attacks nor treat certain types of migraine headaches (e.g., hemiplegic or basilar type).


Many people find that their headaches go away completely after they use sumatriptan. Other people find that their headaches are much less painful, and that they are able to go back to their normal activities even though their headaches are not completely gone. Sumatriptan often relieves other symptoms that occur together with a migraine headache, such as nausea, vomiting, sensitivity to light, and sensitivity to sound.


Sumatriptan is not an ordinary pain reliever. It will not relieve any kind of pain other than migraine headaches. This medicine is usually used for people whose headaches are not relieved by acetaminophen, aspirin, or other pain relievers.


Sumatriptan has caused serious side effects in some people, especially people who have heart or blood vessel disease. Be sure that you discuss with your doctor the risks of using this medicine as well as the good that it can do.


This medicine is available only with your doctor's prescription.


Before Using Sumavel DosePro


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of sumatriptan injection in the pediatric population. Safety and efficacy have not been established.


Geriatric


Use of sumatriptan injection is not recommended in elderly patients with kidney problems, heart or blood vessel disease, or high blood pressure, and should not be used by elderly patients with liver problems.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Almotriptan

  • Dihydroergotamine

  • Eletriptan

  • Ergoloid Mesylates

  • Ergonovine

  • Ergotamine

  • Frovatriptan

  • Methylergonovine

  • Methysergide

  • Naratriptan

  • Rizatriptan

  • Zolmitriptan

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Citalopram

  • Desvenlafaxine

  • Dexfenfluramine

  • Duloxetine

  • Escitalopram

  • Fluoxetine

  • Fluvoxamine

  • Milnacipran

  • Paroxetine

  • Reboxetine

  • Sertraline

  • Sibutramine

  • St John's Wort

  • Tapentadol

  • Venlafaxine

  • Vilazodone

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Bleeding problems or

  • Blurred vision or

  • CNS disorders or

  • Kidney disease or

  • Liver disease or

  • Seizures or epilepsy, history of or

  • Stomach or intestinal bleeding—Use with caution. May make these conditions worse.

  • Cerebrovascular disease (e.g., stroke, transient ischemic attack), or history of or

  • Heart attack, history of or

  • Heart disease (e.g., angina) or

  • Hemiplegic or basilar types of migraine or

  • Hypertension (high blood pressure), uncontrolled or

  • Ischemic bowel disease or

  • Liver disease, severe—Should not be used in patients with these conditions.

  • Coronary artery disease, history of or

  • Diabetes or

  • Hypercholesterolemia (high cholesterol in the blood) or

  • Hypertension (high blood pressure), controlled or

  • Obesity or

  • Raynaud's syndrome—Use with caution. The chance of side effects may be increased. Heart or blood vessel disease sometimes do not cause any symptoms, so some people do not know that they have these problems. Before deciding whether you should use this medicine, your doctor may need to do some tests to make sure that you do not have any of these conditions.

Proper Use of sumatriptan

This section provides information on the proper use of a number of products that contain sumatriptan. It may not be specific to Sumavel DosePro. Please read with care.


Do not use this medicine for a migraine or cluster headache that is different from your usual headaches. Instead, check with your doctor.


To relieve your migraine as soon as possible, use this medicine as soon as the headache pain begins. Even if you get warning signals of a coming migraine (an aura), you should wait until the headache pain starts before using sumatriptan. Using sumatriptan during the aura probably will not prevent the headache from occurring. However, even if you do not use sumatriptan until your migraine has been present for several hours, the medicine will still work.


Lying down in a quiet, dark room for a while after you use this medicine may help relieve your migraine.


If you feel much better after a dose of sumatriptan, but your headache comes back or gets worse after a while, wait at least 2 hours before using another dose. However, use this medicine only as directed by your doctor. Do not use more of it, and do not use it more often, than directed. Using too much sumatriptan may increase the chance of side effects. Do not use more than two doses in 24 hours.


This medicine is given as a shot under your skin (usually on the abdomen or stomach, thighs, or upper arms). Sumatriptan injection may sometimes be given at home to patients who do not need to be in a hospital or clinic. If you are using this medicine at home, your doctor or nurse will teach you how to prepare and inject the medicine. Be sure that you understand how to use the medicine.


If you use this medicine at home, you will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas. This will help prevent skin problems.


This medicine is available in 3 forms. You may use a single dose vial, prefilled syringe, or a prefilled autoinjector.


After you have finished injecting the medicine, be sure to follow the precautions in the patient directions about safely discarding the empty cartridge and the needle. Always return the empty cartridge and needle to their container before discarding them. Do not throw away the autoinjector unit, because refills are available.


This medicine comes with a patient information leaflet. Read and follow the instructions carefully. Ask your doctor if you have any questions.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For injection dosage form:
    • For migraine or cluster headaches:
      • Adults—One 6-milligrams (mg) injected under the skin. One more 6-mg dose may be injected, if necessary, if the migraine comes back after being relieved. However, the second injection should not be given any sooner than 1 hour after the first one. Do not use more than two 6-mg injections in a 24-hour period (one day). However, some people may be directed to use no more than two 6-mg doses in a 48-hour period (two days).

      • Children—Use and dose must be determined by your doctor.



Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Ask your healthcare professional how you should dispose of any medicine you do not use.


Throw away used syringes or autoinjectors in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.


Precautions While Using Sumavel DosePro


Check with your doctor if you have used this medicine and have not had good relief. Also, check with your doctor if your migraine or cluster headaches are worse, or if they are occurring more often, than before you started receiving this medicine.


Make sure your doctor knows if you are pregnant. Your doctor may want you to join a pregnancy registry for patients using this medicine.


This medicine may increase your risk of having a heart attack or stroke. This is more likely to occur if you already have a heart disease, if you smoke, if you are over 40, or if you have gone through menopause. People who use this medicine for a long time might also have a higher risk.


You should not receive this medicine if you have used an MAO inhibitor (MAOI) such as isocarboxacid (Marplan®), phenelzine (Nardil®), selegiline (Eldepryl®), or tranylcypromine (Parnate®) within the past two weeks. Do not use this medicine if you have taken other migraine medicines (e.g., almotriptan, frovatriptan, naratriptan, rizatriptan, zolmitriptan, Axert™, Frova®, Amerge®, Maxalt®, or Zomig®) or an ergotamine medicine (e.g., methysergide, D.H.E. 45®, or Migranal®) within the past 24 hours.


Make sure your doctor knows about all the other medicines you are using. Sumatriptan may cause a serious condition called serotonin syndrome when used with some medicines. This especially includes medicines used to treat depression, such as citalopram, duloxetine, escitalopram, fluoxetine, fluvoxamine, olanzapine, paroxetine, sertraline, venlafaxine, Celexa®, Cymbalta®, Effexor®, Lexapro®, Luvox®, Paxil®, Prozac®, Sarafem®, Symbyax®, or Zoloft®. Check with your doctor first before taking any other medicines.


This medicine may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, wheezing, or fainting. Other signs may include changes in color of the skin of the face; very fast but irregular heartbeat or pulse; hive-like swellings on the skin; and puffiness or swellings of the eyelids or around the eyes. If these effects occur, get emergency help at once.


Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after your treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).


Check with your doctor right away if you have chest discomfort, jaw or neck tightness after receiving this medicine. Also, tell your doctor if you have sudden or severe abdominal or stomach pain after using this medicine.


Drinking alcoholic beverages can make headaches worse or cause new headaches to occur. People who suffer from severe headaches should probably avoid alcoholic beverages, especially during a headache.


This medicine may cause some people to become dizzy, drowsy, or less alert than they are normally. If any of these side effects occur, do not drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert while you are using this medicine.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Sumavel DosePro Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Less common
  • Blurred vision

  • chest pain or discomfort

  • chills

  • confusion

  • difficult or labored breathing

  • dizziness

  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

  • fainting

  • fast, pounding, or irregular heartbeat or pulse

  • headache

  • nervousness

  • pounding in the ears

  • shakiness in the legs, arms, hands, or feet

  • shortness of breath

  • slow or fast heartbeat

  • sweating

  • tight feeling in the head

  • tightness or pressure in the chest

  • trembling or shaking of the hands or feet

  • unusual tiredness or weakness

  • wheezing

Rare
  • Black, tarry stools

  • blood in the urine

  • blood in the vomit

  • burning while urinating

  • cough

  • decreased urination

  • depression of the skin

  • diarrhea

  • dry mouth

  • feeling of warmth or heat

  • fever

  • flushing or redness of the skin, especially on the face and neck

  • general feeling of discomfort or illness

  • inability to move the eyes

  • inability to move the legs or arms

  • increase in heart rate

  • increased blinking or spasms of the eyelid

  • increased sensitivity to pain

  • increased sensitivity to touch

  • indentation of the skin

  • joint pain

  • loss of appetite

  • muscle aches and pains

  • nausea and vomiting

  • pain in the groin or genitals

  • paleness of the skin

  • paleness or cold feeling in the fingertips and toes

  • paralysis of one side of the body

  • rapid breathing

  • runny nose

  • severe or continuing stomach pain

  • sharp back pain just below the ribs

  • shivering

  • sore throat

  • sticking out of the tongue

  • sunken eyes

  • thirst

  • tingling in the hands and feet

  • tingling or pain in the fingers or toes when exposed to cold

  • trouble with breathing, speaking, or swallowing

  • trouble with sleeping

  • uncontrolled twisting movements of the neck, trunk, arms, or legs

  • unusual facial expressions

  • wrinkled skin

Incidence not known
  • Abdominal or stomach pain and tenderness

  • agitation

  • back, leg, or stomach pains

  • bleeding gums

  • blood in the stools

  • bluish color of the fingernails, lips, skin, palms, or nail beds

  • changes in skin color

  • changes in vision

  • coma

  • depression

  • difficulty with swallowing

  • double vision

  • general body swelling

  • headache, sudden, severe, and continuing

  • high fever

  • hives

  • hostility

  • inability to speak

  • irritability

  • itching

  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

  • lethargy

  • loss of ability to use or understand speech or language

  • loss of appetite

  • loss of vision

  • migraine headache

  • muscle twitching

  • noisy breathing

  • nosebleeds

  • overactive reflexes

  • pain, tenderness, or swelling of the foot or leg

  • pinpoint red spots on the skin

  • poor coordination

  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

  • rapid weight gain

  • rectal bleeding

  • redness, soreness, or itching skin

  • restlessness

  • seizures

  • severe or sudden headache

  • slurred speech

  • sores, ulcers, or white spots on the lips or in the mouth

  • sores, welting, or blisters

  • stupor

  • swelling of the face, ankles, hands, feet, or lower legs

  • swollen glands

  • talking or acting with excitement you cannot control

  • temporary blindness

  • trembling or shaking

  • twitching

  • unexplained bleeding or bruising

  • unusual bleeding or bruising

  • unusually warm skin

  • weakness in the arm or leg on one side of the body, sudden and severe

  • weight loss

  • yellowing of the eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


More common
  • Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site

  • burning or tingling sensation

  • drowsiness

  • feeling of constant movement of self or surroundings

  • feeling of warmth

  • redness of the face, neck, arms, and occasionally, upper chest

  • relaxed and calm

  • sensation of spinning

  • sleepiness

Less common
  • Abdominal or stomach discomfort

  • anxiety

  • bad, unusual, or unpleasant (after) taste

  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

  • change in color vision

  • change in taste

  • difficulty seeing at night

  • difficulty with moving

  • discomfort in the jaw, nasal cavity, or throat

  • false or unusual sense of well-being

  • feeling strange

  • heartburn

  • increased sensitivity of the eyes to sunlight

  • joint pain, stiffness, or swelling

  • mental confusion

  • muscle aching or cramping

  • neck pain or stiffness

  • red, sore eyes

  • swollen joints

  • tearing of the eyes

  • thirst

  • weakness

Rare
  • Backache

  • belching

  • bloated or full feeling

  • changes in patterns and rhythms of speech

  • cramps

  • dry heaves

  • excess air or gas in the stomach or intestines

  • extreme thirst

  • heavy bleeding

  • hiccups

  • hunger

  • increased thirst

  • muscle tiredness

  • muscle twitching or jerking

  • pain

  • passing gas

  • reduced appetite

  • rhythmic movement of muscles

  • severe stomach pain with nausea and vomiting

  • tenderness of the skin

  • trouble with speaking

Incidence not known
  • Deafness

  • panic

  • severe sunburn

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Sumavel DosePro Subcutaneous side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Sumavel DosePro Subcutaneous resources


  • Sumavel DosePro Subcutaneous Side Effects (in more detail)
  • Sumavel DosePro Subcutaneous Use in Pregnancy & Breastfeeding
  • Sumavel DosePro Subcutaneous Drug Interactions
  • 14 Reviews for Sumavel DosePro Subcutaneous - Add your own review/rating


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